Kortleve J W, Düren D R, Becker A E
Am J Med. 1980 Mar;68(3):395-400. doi: 10.1016/0002-9343(80)90110-2.
Two patients have been documented in whom a preexisting left ventricular aneurysm became complicated by myocardial abscess. Presumptive clinical diagnoses of infected pulmonary infarction and recurrent myocardial infarction were made. In each instance the abscess was revealed at necropsy. Histologic studies suggested that the abscess had occurred through direct spread from an infectious mural endocarditis. This mechanism could be related to the nature of the inner coating, which in both instances revealed evidence of organizing thrombosis with incorporation into the wall of the aneurysms. The observations reemphasize the need to consider the possibility of an infectious cardiac complication in every patient who presents with puzzling and nondiagnostic symptoms but in whom signs of an infectious process are present.
已有两例患者的记录，他们先前存在的左心室动脉瘤并发心肌脓肿。临床初步诊断为感染性肺梗死和复发性心肌梗死。在每例病例中，脓肿在尸检时被发现。组织学研究表明，脓肿是通过感染性心内膜炎的直接蔓延而形成的。这种机制可能与内膜涂层的性质有关，在这两例病例中，内膜涂层均显示有组织化血栓形成并融入动脉瘤壁的证据。这些观察结果再次强调，对于每一位出现令人困惑且无法明确诊断的症状但有感染过程迹象的患者，都需要考虑感染性心脏并发症的可能性。
